Ihle Peter, Schneider Udo, Vogt Verena
PMV forschungsgruppe an der Medizinischen Fakultät und Uniklinik Köln, Universität zu Köln, Köln, Germany.
Versorgungsmanagement, Techniker Krankenkasse, Hamburg, Germany.
Gesundheitswesen. 2024 Jul;86(S 03):S224-S230. doi: 10.1055/a-2098-3039. Epub 2023 Oct 20.
Health services research examines the structures and processes of health care under everyday conditions. Routine data of the statutory health insurance (SHI) - the so-called routine practice data - represent real health care and are therefore an important data source for health services research. This paper presents 5 key questions that researchers and data-holding institutions can use to assess the suitability of this data source for answering their health services research question. The aim of these guiding questions is to generate a common understanding between researchers and data-holding institutions of the research project, the research objective, and the feasibility of implementation in health services research. The five guiding questions cover the formulation of the research question, the planned method, the target population, the relevant study periods, and the required information from SHI data. These methodologically oriented guiding questions are supplemented by the question of how the results of the research project could improve care. Thus, for researchers, the five guiding questions provide an initial structuring for data requests; for data-holding institutions, they provide a framework for considering possible involvement in or support of a research idea in health services research.
卫生服务研究考察日常情况下卫生保健的结构与过程。法定医疗保险（SHI）的常规数据——即所谓的常规诊疗数据——代表了实际的卫生保健情况，因此是卫生服务研究的重要数据源。本文提出了5个关键问题，研究人员和数据持有机构可利用这些问题来评估该数据源对于回答其卫生服务研究问题的适用性。这些指导性问题的目的是使研究人员和数据持有机构就研究项目、研究目标以及在卫生服务研究中实施的可行性达成共识。这5个指导性问题涵盖研究问题的表述、计划采用的方法、目标人群、相关研究时期以及来自SHI数据所需的信息。这些以方法为导向的指导性问题还补充了关于研究项目结果如何能够改善医疗服务的问题。因此，对于研究人员而言，这5个指导性问题为数据请求提供了初步的架构；对于数据持有机构而言，它们为考虑可能参与或支持卫生服务研究中的某个研究想法提供了一个框架。
